Nancy Mallory MD

NPI 1083665129 - Family Medicine - 207Q00000X

NPI Details
NPI 1083665129
Gender Female
Enumeration Date 05/13/2006
Last Updated 01/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
435 S EAGLE RD
EAGLE ID, 83616-6067, US
Phone (208) 939-8200
Fax
Business Location
435 S EAGLE RD
EAGLE ID, 83616-6067, US
Phone (208) 939-8200
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M8876
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According to our database, Nancy Mallory MD NPI is 1083665129, taxonomy code is 207Q00000X and license number is M8876, license state is located at Idaho. Nancy Mallory MD physically located at 435 S Eagle Rd, Eagle ID, 83616-6067. NPI Number Nancy Mallory MD has the Individual type.

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1083665129 NPI number is provided on an as is basis without warranty of any kind. 1083665129 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Mallory MD are for informational purposes only.